MEDICARE: NICHOLAS F SEKETA DPM PC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	213EP1101X	Primary Podiatric Medicine Podiatrist	N002900	NY

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1740513498
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	NICHOLAS F SEKETA DPM PC

Provider Business Mailing Address
First Line	:	PO BOX 598
Second Line	:
City	:	WHITNEY POINT
State	:	NY
Zip	:	13862-0598
Country	:	US
Telephone Number	:	607-692-4212
Fax Number	:

Provider Business Practice Location Address
First Line	:	2673 MAIN ST
Second Line	:	BOX 598
City	:	WHITNEY POINT
State	:	NY
Zip	:	13862-0598
Country	:	US
Telephone Number	:	607-692-4212
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	NICHOLAS F SEKETA
Credential	:	D.P.M.
Telephone Number	:	607-692-4212

Provider Enumeration Date	:	09/14/2009
Last Update Date	:	11/29/2011

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